Neurological vertigo in the emergency room in pediatric and adult age: systematic literature review and proposal for a diagnostic algorithm.

Autor: Pellegrino N; Neonatal Intensive Care Unit, Pescara Public Hospital, Pescara, Italy., Di Stefano V; Department of Biomedicine, Neuroscience and Advanced Diagnostic (BIND), University of Palermo, Palermo, Italy., Rotondo E; Department of Pediatric and Neonatology, Ciriè Hospital, Ciriè, Piemonte, Italy., Graziosi A; Department of Primary Care, ASL Viterbo, Viterbo, Italy., Rispoli MG; Department of Neuroscience Imaging and Clinical Sciences, University G. D'Annunzio, Chieti, Italy., Torrente A; Department of Biomedicine, Neuroscience and Advanced Diagnostic (BIND), University of Palermo, Palermo, Italy., Lupica A; Department of Biomedicine, Neuroscience and Advanced Diagnostic (BIND), University of Palermo, Palermo, Italy., Brighina F; Department of Biomedicine, Neuroscience and Advanced Diagnostic (BIND), University of Palermo, Palermo, Italy., Raucci U; Department of Emergency, Acceptance and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Parisi P; Chair of Pediatrics, NESMOS Department, Faculty of Medicine & Psychology, 'Sapienza' University, Sant'Andrea Hospital, Rome, Italy. pasquale.parisi@uniroma1.it.
Jazyk: angličtina
Zdroj: Italian journal of pediatrics [Ital J Pediatr] 2022 Jul 27; Vol. 48 (1), pp. 125. Date of Electronic Publication: 2022 Jul 27.
DOI: 10.1186/s13052-022-01313-7
Abstrakt: Neurological vertigo is a common symptom in children and adults presenting to the emergency department (ED) and its evaluation may be challenging, requiring often the intervention of different medical specialties. When vertigo is associated with other specific symptoms or signs, a differential diagnosis may be easier. Conversely, if the patient exhibits isolated vertigo, the diagnostic approach becomes complex and only through a detailed history, a complete physical examination and specific tests the clinician can reach the correct diagnosis. Approach to vertigo in ED is considerably different in children and adults due to the differences in incidence and prevalence of the various causes. The aim of this systematic review is to describe the etiopathologies of neurological vertigo in childhood and adulthood, highlighting the characteristics and the investigations that may lead clinicians to a proper diagnosis. Finally, this review aims to develop an algorithm that could represent a valid diagnostic support for emergency physicians in approaching patients with isolated vertigo, both in pediatric and adult age.
(© 2022. The Author(s).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje